Individual
MRS. NAN M. ARNOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 NE 3RD ST, MCMINNVILLE, OR 97128-4901
(503) 434-5124
Mailing address
119 NE 3RD ST, MCMINNVILLE, OR 97128-4901
(503) 434-5124
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
1659
OR
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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